| NPI | 1003574161 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBORAH HOWELL Clinical Social Worker 734-352-7398 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2021-12-06 | 
| Last Update Date | 2021-12-06 |